Active NPI
John J Kelley Jr., BCO
- Ocularist
- Towson, MD
National Provider Identifier
1942374731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- Practice address
- 1107 Kenilworth Dr
Suite 310
Towson, MD 21204-2140 - Phone
- (410) 828-5628
- Fax
- (419) 828-5629
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ocularist | 156FX1700X | Primary | ||
| Other Specialist/Technologist | 246Z00000X |
Addresses
Primary practice location
1107 Kenilworth Dr
Suite 310
Towson, MD 21204-2140
Mailing address
1107 Kenilworth Dr
Suite 310
Towson, MD 21204-2140
Phone (410) 828-5628
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y391 | Other | MD | FED BC BS |
| 52455501 | Other | MD | BC BS REGION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John J Kelley Associates of Maryland LTD | Current | Accepting new patients |
Locations
1107 Kenilworth Dr
Ste 310
Towson, MD 21204
Phone (410) 828-5628
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Towson, MD
- NPI 1174796551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1942374731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 KENILWORTH DR",
"address_2": "SUITE 310",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042140",
"telephone_number": "410-828-5628",
"fax_number": "419-828-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 KENILWORTH DR",
"address_2": "SUITE 310",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042140",
"telephone_number": "410-828-5628",
"fax_number": "419-828-5629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "BCO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ocularist",
"state": null,
"license": null,
"primary": true
},
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED BC BS",
"identifier": "Y391",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS REGION",
"identifier": "52455501",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.